Fifteen Bacteroides forsythus strains freshly isolated from patients w
ith periodontitis were used together with three collection strains and
one type strain for characterization of growth on various media; dete
rmination of enzymatic profiles, antibiotic susceptibility profiles, 1
6S rRNA ribotypes, sodium dodecyl sulfate-polyacrylamide gel electroph
oresis (SDS-PAGE) outer membrane protein profiles, and pathogenicity;
and gas chromatography analysis by using a wound chamber model in rabb
its, All strains were stimulated by N-acetylmuramic acid, while one st
rain needed a further supplement such as yeast extract for optimal gro
wth, All strains showed trypsin-like activity, While 10 different ribo
types were found, the SDS-PAGE profiles revealed similar patterns for
all strains, All strains were sensitive to penicillin G (MICs, <0.5 mu
g/ml), ampicillin (MICs, <1.0 mu g/ml), amoxicillin (MICs, <0.38 mu g
/ml), metronidazole (MICs, <0.005 mu g/ml), tetracycline (MICs, <0.19
mu g/ml), doxycycline (MICs, 0.05 mu g/ml), erythromycin (MICs, <0.4 m
u g/ml), and clindamycin (MICs, <0.016 mu g/ml), while they were less
sensitive to ciprofloxacin (MICs, <4 mu g/ml). B. forsythus did not ca
use abscess formation by monoinoculation. B. forsythus coinoculated wi
th Fusobacterium nucleatum ATCC 10953 caused abscess formation in 75%
of rabbits, while it caused abscess formation in 100% of rabbits when
it was coinoculated with Porphyromonas gingivalis FDC 381. In the case
of the latter combination, four of six rabbits died of sepsis after 6
to 7 days, and P. gingivalis and B. forsythus were recovered from the
heart blood at a proportion of 10:1, B. forsythus strains were highly
virulent and invasive in combination with P. gingivalis.